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  #1  
Old 05-28-2014
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Default Neurology Question

A 62 year old women who just recently suffered a stroke 6 weeks ago is going through speech rehabilitation. She speaks in two word phrases and has difficulty understanding instructions from the speech teacher. What is the likely location of the stroke suffered by this woman?

A) Right frontal lobe
B) Right temporal lobe
C) Right parietal lobe
D) Left frontal lobe
E) Left temporal lobe
F) Left parietal lobe
G) Watershed infarct of Wernicke's area
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Old 05-28-2014
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Originally Posted by aawe004 View Post
A 62 year old women who just recently suffered a stroke 6 weeks ago is going through speech rehabilitation. She speaks in two word phrases and has difficulty understanding instructions from the speech teacher. What is the likely location of the stroke suffered by this woman?

A) Right frontal lobe
B) Right temporal lobe
C) Right parietal lobe
D) Left frontal lobe
E) Left temporal lobe
F) Left parietal lobe
G) Watershed infarct of Wernicke's area
looks like the Watershed infarct of Wernicke's area
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What's the difference between watershed infarct of Wernicke's area and the left temporal lobe?
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What's the difference between watershed infarct of Wernicke's area and the left temporal lobe?
temporal lobe is more general definition whereas wernickes area points to that exact location
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looks like the Watershed infarct of Wernicke's area
Shouldn't it be conduction aphasia? Her speech doesn't sound fluent although they didn't mention ability to repeat words after examiner. Wernick lesion causes fluent aphasia, no? And if it's conduction where should the lesion be? Left parietal region?
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Old 05-29-2014
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Shouldn't it be conduction aphasia? Her speech doesn't sound fluent although they didn't mention ability to repeat words after examiner. Wernick lesion causes fluent aphasia, no? And if it's conduction where should the lesion be? Left parietal region?
she's got a receptive aphasia "She speaks in two word phrases and has difficulty understanding instructions from the speech teacher.

arcuate fasciculus connects temporal and frontal lobe and lesion should be somwhere in between
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Then how do you explain short sentences. In receptive aphasia the length of sentences should be normal. Words are invented up or meaningless but speech is fluent. However expressive aphasia has small sentences, omits prepositions and can have mild difficulty understanding but usually comprehension is ok. What is it then?
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Then how do you explain short sentences. In receptive aphasia the length of sentences should be normal. Words are invented up or meaningless but speech is fluent. However expressive aphasia has small sentences, omits prepositions and can have mild difficulty understanding but usually comprehension is ok. What is it then?
well there can be some overlap during strokes but this case makes me think of receptive aphasia ''difficulty understanding instructions"=impaired comprehension

aawe004
can u give us the source of the question with its correct answer

what the medicine taught me and the same i see over and over again in CK is 2x2 is not always 4 (which in theory should be)
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I don't know that the answer is.

This was a question from the actual exam.
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